| NPI | 1902808488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE B. WILSON Administrator 901-747-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: TN 0000000066) |
| Enumeration Date | 2005-08-14 |
| Last Update Date | 2012-03-23 |